mTNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Wri
m m m m m m m m m m m
tten Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+
m m m m m m m m m m
-mANSPrehospitalmshockmindexmpg.m85
..mactivation:m....maremfoundminmthemcarotidmsinusmandmalongmthemaorticmarch,maremsensitivemtomthemdegreem
ofmstretchminmthemarterialmwall.mWhenmthemreceptorsmsensemamdecreaseminmstretch,mtheymstimulatemthemsy
mpatheticmnervousmsystemmtomreleasemEpi,mnorepi,mcausingmstimulationmofmcardiacmactivitymandmconstricti
onmofmbloodmvessels,mwhichmcausesmamriseminmheartmratemandmdiastolicmbloodmpressurem-
mANSBaroreceptors:
1.mA-mairwaymandmAlertnessmwithmsimultaneousmcervicalmspinalmstabilization
2.mB-mbreathingmandmVentilationm
3.mcirculationmandmcontrolmofmhemorrhage
4.mDm-mdisabilitym(neurologicmstatus)
5.mFm-mfullmsetmofmvitalsmandmFamilympresence
6.mGm-mGetmresuscitationmadjuncts
mL-mLabmresultsm(arterialmgases,mbloodmtypemandmcrossmatch)
mM-mmonitormformcontinuousmcardiacmrhythmmandmratemassessment
mN-mnasomormorogastricmtubemconsideration
mO-moxygenationmandmventilationmanalysis:mPulsemoxygemetrymandmend-
tidalmcaronmdioxidem(ETC02)mmonitoringmandmcapnopgraphy
mH-mHistorymandmheadmtomtoemassessment
mI-mInspectmposteriormsurfacesm-mANSABCDEFGHI
1.mApnea
2.mGCSm8mormless
3.mMaxillarymfractures
4.mEvidencemofminhalationminjurym(facialmburns)
5.mLaryngealmormtrachealminjurymormneckmhematoma
6.mHighmriskmofmaspirationmandmpatientsminabilitymtomprotectmthemairway
7.mCompromisedmormineffectivemventilationm-mANSFollowingmconditionsmmightmrequiremamdefinitivemairway
1.mbonymfracturesmandmpossiblemribmfractures,mwhichmmaymimpactmventilationm
2.mpalpatemformcrepitusm
3.msubcutaneousmemphysemamwhichmmaymbemamsignmformampneumothorax
4.msoftmtissueminjurym-mANSPalpatemthemchestmfor
1.mCheckmthempresencemofmadequatemrisemandmfallmofmthemchestmwithmassistedmventilation
2.mAbsencemofmgurglingmonmauscultationmovermthemepigastriumm
3.mBilateralmbreathmsoundsmpresentmonmauscultationm
4.mPresencemofmcarbonmdioxidem(CO2)mverifiedmbymamCO2mdevicemormmonitorm-
mANSIfmthemptmhasmamdefinitivemairwayminmwhatmshouldmyoumdo?
1.mDyspnea
2.mTachycardia
3.mDecreasedmormabsentmbreathmsoundsmonmtheminjuredmside
4.mCPm-mANSSimplemPneumomassessment:
1.mequalmbreathmsoundsmbilaterallymatmthemsecondmintercostalmspacemmidclavicularmlinemandmthembasesmfor
mfifthmintercostalmspacematmthemaxillarymlinem-mANSAuscultatemthemchestmfor:
1.mGetmamCTm
2.mConsidermABGm'smifmdecreasedmLOC
3.mConsidermglucosemcheckm-mANSDmInterventions
,mTNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Wri
m m m m m m m m m m m
tten Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+
m m m m m m m m m m
1.mHypotension
2.mJVD
3.mMuffledmheartmsoundsm-mANSBecksmTriad:
1.mopenmthemairway,musemjawmthrustm
2.minsertmanmoralmairwaym
3.massistmventilationsmwithmambagmmaskm
4.mpreparemformdefinitivemairwaym-mANSIfmbreathingmismabsent..
1.mpainm-mhallmarkmsign,mearlymsignm
2.mpressurem-mearlymsign
3.mpallor,mpules,mparesthesia,mparalysism-mlatemsignm-mANSSixmP'smofmcompartmentmsyndrome:
1.mPreparation
2.mPreoxygenation
3.mPretreatment
4.mParalysismandmInduction
5.mProtectingmandmpositioningm-mv
6.mPlacementmofmproofm-msecuremthemtubem
7.mPostmintubationm-msecuremETTmTube,mgetmX-raymformplacementm-
mANSStepsmofmRapidmSequencemIntubation
1.mPreparationmandmTriage
2.mPrimarymSurverym(ABCDE)mwithmresuscitationmadjunctsm(F,G)
3.mReevaluationm(considerationmofmtransfer)
4.mSecondarymSurveym(HI)mwithmreevaluationmadjuncts
5.mReevaluationmandmpostmresuscitationmcare
6.mDefinitivemcaremofmtransfermtomanmappropriatemtraumamnursem-mANSInitialmAssessment
1.mSuctionmthemairway
2,mUsemcaremtomavoidmstimulatingmthemgagmreflex
3.mIfmthemairwaymismobstructedmbymbloodmormvomitusmsecretions,musemamrigidmsuctionmdevice
Ifmforeignmbodymismnoted,mremovemitmcarefullymwithmforcepsmormanothermappropriatemmethodm-
mANSIfmAirwaymismnotmpatent
1.mThemtonguemobstructingmthemairway
2.mloosemormmissingmteeth
3.mforeignmobjects
4.mblood,mvomit,mormsecretions'
5.medema
6.mburnsmormevidencemofminhalationminjury
Auscultiatemormlistenmfor:
1.mObstructivemairwaymsoundsmsuchmasmsnoringmormgurgling
2.mPossiblemocclusivemmaxillofacialmbonymdeformity
3.mSubcutaneousmemphysemam-mANSInspectmthemmouthmfor:
50mtom150m-mANSMAPmRange
500mmL/hrm-
mANSYoumaremtreatingmam27m y/omMminmrespiratorymdistressmwhomwasminvolvedminmamhousemfire.mCalculatin
gmTBSAmburnedmismdeferredmduemtomthemneedmformemergentmintubation.mAtmwhatmratemshouldmyoumbeginmfl
uidmresuscitation?
,mTNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Wri
m m m m m m m m m m m
tten Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+
m m m m m m m m m m
Am14mgaugemneedlemthatmisminsertedmintomthem2ndmintercostalmspaceminmthemmidclavicularmlinemonmthemaffe
ctedmsidemovermthemtopmofmthemribmtomavoidmneuromuscularmbundlemthatmrunsmundermthemrib.m
Preparemformchestmtubemplacement.m-mANSTensionmpneumomintervention
am52my/omdiabeticmmalemwithmampartialmthicknessmburnmtomthemleftmlowermlegm-
mANSWhichmofmthemfollowingmpatientsmwarrantsmreferralmtomamburnmcenter?
Ambreathmeverym5mtom6mseconds:m10-12mventilationsmpermminutem-mANSBagmmaskmventilation
ampertinentmmedicalmhxmismcrucialm-
mANSWhichmofmthemfollowingmconsiderationsmismthemmostmimportantmwhenmcaringmformam geriatricmtraumamp
t?
Accordingmtomnewtonsmlawmwhichmofmthesemtwomforcemismgreater:msizemormforce?m-
mANSNeither.mFormeachmforcemtheremismanmequalmandmoppositemreaction.
acidosism-mANSWhichmofmthemfollowingmismamcomponentmofmthemtraumamtriadmofmdeath?
activation:mconsistmofmcarotidmandmaorticmbodies.m...mdetectmchangesminmbloodmoxygenmandmCo2mandmpH.m
WhenmCo2mrisesmormoxygenmlevelmofmpHmfallsmthesemreceptorsmaremactivatedmandminformationmismrelayedmt
omthemCNSmandmthemcardiorespiratorymcentersminmthemmedullam,mwhichmincreasesmrespiratorymragemandmde
pthmandmBPm-mANSChemoreceptors:
advancedmagem-
mANSWhichmofmthemfollowingmismmostmlikelymtomcontributemtominadequatemoxygenationmandmventilation?
aftermamphysicalmexaminationmifmthemptmhasmnomradiologicmabnormalitiesmonmCTm-
mANSEMSmarrivesmwithmthem intoxicatedmdrivermofmamcarminvolvedminmamMVC.mEMSmreportsmsignificantmdam
agemtomthemdriversmsidemofmthemcar.mThemptmismaskingmtomhavemthemcervicalmcollarmremoved.mWhenmitmisma
ppropriatemtomremovemthemcervicalmcollar?
Airmcannotmescapemintrapleuralmspace..mcanmbeginmtomcompressmheart.mptmwillmhavemsevermrespmdistress,m
hypotension,mJVD.m-mANSTensionmpneumo
anymdeformities?mbleeding?mcontusions,mlacs?mskinmtemp??mplacemsplintsmonmdeformities,mpulsesm-
mANSHeadmtomtoemassessment:mExtremities
anymlacs?mdeformities?mbloodmatmthemurtheralmmeatus
palpatempelvismwithmhighmpressuremovermthemiliacmwingsmdownwardmandmmediallym-
mANSHeadmtomtoemassessment:mpelvismandmperineum
AorticmDissectionm-mANSUnequalmextremitympulsemstrengthmpossibilitymof..
applymdirectmpressuremtombleeding
elevatemextremity
applympressuremovermarterialmsites
Considermampelvicmbindermformpelvicmfractures
, mTNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Wri
m m m m m m m m m m m
tten Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+
m m m m m m m m m m
considermamtourniquet
cannulatemtwomveinsmwithmlargemcalibermIVm-mifmunablemtomgainmassessmconsidermIOm
ma.mobtainmlabs,mtypemandmcross
mb.minfusemwarmmisotonicmfluids
mc.mconsidermbalancedmresuscitationm
md.musemrapidminfusionmdevicem-mANSCmInterventions:
applymsplintmandmelevatemabovemthemlevelmofmthemheartm-
mANSam37my/omFmhasmamdeformitymofmthemLmwristmaftermamfall.mShemismreluctantmtommovemhermhandmduemtom
pain.mWhichmofmthemfollowingmismthemmostmappropriatemintervention?
askmptmtompenmhismormhermmouthm-
mANSWhilemassessingmairwaymthempatientmismalertmandmrespondsmtomverbalmstimulimyoum should..
bardycardiamandmabsentmmotormfunctionmbelowmthemlevelmofminjurym-
mANSAmptmwithmamcompletemspinalmcordminjuryminmneurogenicmshockmwillmdemonstratemhypotensionmandmw
hichmothermclinicalmsigns?
Beforemthemarrivalmofmthemptm-mANSWhenmshouldmPPEmbemplaced:
Biomechanicsm-mANSIsmthemgeneralmstudymofmforcesmandmtheirmeffects.
bowelm-mANSWhichmofmthemfollowingminjuriesmismLEASTmlikelymtombempromptlymidentified?
brachialmpulsem-mANSUndermagemofm1mwheremdomyoumfindmampulse
Breathing:mTomassessmbreathingmexposemthemchest:
1.mInspectmfor
ma.mspontaneousmbreathing
mb.msymmetricalmrisemandmfall
mc.mdepth,mpattern,mandmratemofmrespiration
md.msignsmofmdifficultymbreathingmsuchmasmaccessorymmusclemusem
me.mskinmcolorm(normal,mpale,mflushed,mcyanotic)
mf.mcontusions,mabrasions,mdeformitiesm(flailmchest)
mg.mopenmpneumothoracesm(suckingmchestmwounds)
mh.mJVD
mi.msignsmofminhalationminjurym(singedmnasalmhairs,mcarbonaceousmsputum)m-mANSB
calciumm-
mANSifmamptmhasmreceivedmmultiplemtransfusionsmofmbankedmbloodmpreservedmwithmcitrate,mwhichmelectrolyt
emismmostmlikelymtomdropmandmrequiremsupplementation?
canmbemcausedmbymbluntmtrauma.mairmescapesmfromminjuredmlungmtompleuralmspacemandmnegativemintrapleu
ralmpressuremismlostmcausingmpartialmormcollapsedmlungm-mANSSimplemPneumothorax
canmresultmfrommpenetratingmwoundmthroughmchestmwallmcausingmairmtombemtrappedminmtomthemintrapleuralm
place.mMightmhearm"sucking"
Tx:mnonporousmdressingmtapesmonm3msided,mthenmChestmtubemandmwouldmclosuremsurgicalmrepair.m-
mANSOpenmPneumo:
m m m m m m m m m m m
tten Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+
m m m m m m m m m m
-mANSPrehospitalmshockmindexmpg.m85
..mactivation:m....maremfoundminmthemcarotidmsinusmandmalongmthemaorticmarch,maremsensitivemtomthemdegreem
ofmstretchminmthemarterialmwall.mWhenmthemreceptorsmsensemamdecreaseminmstretch,mtheymstimulatemthemsy
mpatheticmnervousmsystemmtomreleasemEpi,mnorepi,mcausingmstimulationmofmcardiacmactivitymandmconstricti
onmofmbloodmvessels,mwhichmcausesmamriseminmheartmratemandmdiastolicmbloodmpressurem-
mANSBaroreceptors:
1.mA-mairwaymandmAlertnessmwithmsimultaneousmcervicalmspinalmstabilization
2.mB-mbreathingmandmVentilationm
3.mcirculationmandmcontrolmofmhemorrhage
4.mDm-mdisabilitym(neurologicmstatus)
5.mFm-mfullmsetmofmvitalsmandmFamilympresence
6.mGm-mGetmresuscitationmadjuncts
mL-mLabmresultsm(arterialmgases,mbloodmtypemandmcrossmatch)
mM-mmonitormformcontinuousmcardiacmrhythmmandmratemassessment
mN-mnasomormorogastricmtubemconsideration
mO-moxygenationmandmventilationmanalysis:mPulsemoxygemetrymandmend-
tidalmcaronmdioxidem(ETC02)mmonitoringmandmcapnopgraphy
mH-mHistorymandmheadmtomtoemassessment
mI-mInspectmposteriormsurfacesm-mANSABCDEFGHI
1.mApnea
2.mGCSm8mormless
3.mMaxillarymfractures
4.mEvidencemofminhalationminjurym(facialmburns)
5.mLaryngealmormtrachealminjurymormneckmhematoma
6.mHighmriskmofmaspirationmandmpatientsminabilitymtomprotectmthemairway
7.mCompromisedmormineffectivemventilationm-mANSFollowingmconditionsmmightmrequiremamdefinitivemairway
1.mbonymfracturesmandmpossiblemribmfractures,mwhichmmaymimpactmventilationm
2.mpalpatemformcrepitusm
3.msubcutaneousmemphysemamwhichmmaymbemamsignmformampneumothorax
4.msoftmtissueminjurym-mANSPalpatemthemchestmfor
1.mCheckmthempresencemofmadequatemrisemandmfallmofmthemchestmwithmassistedmventilation
2.mAbsencemofmgurglingmonmauscultationmovermthemepigastriumm
3.mBilateralmbreathmsoundsmpresentmonmauscultationm
4.mPresencemofmcarbonmdioxidem(CO2)mverifiedmbymamCO2mdevicemormmonitorm-
mANSIfmthemptmhasmamdefinitivemairwayminmwhatmshouldmyoumdo?
1.mDyspnea
2.mTachycardia
3.mDecreasedmormabsentmbreathmsoundsmonmtheminjuredmside
4.mCPm-mANSSimplemPneumomassessment:
1.mequalmbreathmsoundsmbilaterallymatmthemsecondmintercostalmspacemmidclavicularmlinemandmthembasesmfor
mfifthmintercostalmspacematmthemaxillarymlinem-mANSAuscultatemthemchestmfor:
1.mGetmamCTm
2.mConsidermABGm'smifmdecreasedmLOC
3.mConsidermglucosemcheckm-mANSDmInterventions
,mTNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Wri
m m m m m m m m m m m
tten Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+
m m m m m m m m m m
1.mHypotension
2.mJVD
3.mMuffledmheartmsoundsm-mANSBecksmTriad:
1.mopenmthemairway,musemjawmthrustm
2.minsertmanmoralmairwaym
3.massistmventilationsmwithmambagmmaskm
4.mpreparemformdefinitivemairwaym-mANSIfmbreathingmismabsent..
1.mpainm-mhallmarkmsign,mearlymsignm
2.mpressurem-mearlymsign
3.mpallor,mpules,mparesthesia,mparalysism-mlatemsignm-mANSSixmP'smofmcompartmentmsyndrome:
1.mPreparation
2.mPreoxygenation
3.mPretreatment
4.mParalysismandmInduction
5.mProtectingmandmpositioningm-mv
6.mPlacementmofmproofm-msecuremthemtubem
7.mPostmintubationm-msecuremETTmTube,mgetmX-raymformplacementm-
mANSStepsmofmRapidmSequencemIntubation
1.mPreparationmandmTriage
2.mPrimarymSurverym(ABCDE)mwithmresuscitationmadjunctsm(F,G)
3.mReevaluationm(considerationmofmtransfer)
4.mSecondarymSurveym(HI)mwithmreevaluationmadjuncts
5.mReevaluationmandmpostmresuscitationmcare
6.mDefinitivemcaremofmtransfermtomanmappropriatemtraumamnursem-mANSInitialmAssessment
1.mSuctionmthemairway
2,mUsemcaremtomavoidmstimulatingmthemgagmreflex
3.mIfmthemairwaymismobstructedmbymbloodmormvomitusmsecretions,musemamrigidmsuctionmdevice
Ifmforeignmbodymismnoted,mremovemitmcarefullymwithmforcepsmormanothermappropriatemmethodm-
mANSIfmAirwaymismnotmpatent
1.mThemtonguemobstructingmthemairway
2.mloosemormmissingmteeth
3.mforeignmobjects
4.mblood,mvomit,mormsecretions'
5.medema
6.mburnsmormevidencemofminhalationminjury
Auscultiatemormlistenmfor:
1.mObstructivemairwaymsoundsmsuchmasmsnoringmormgurgling
2.mPossiblemocclusivemmaxillofacialmbonymdeformity
3.mSubcutaneousmemphysemam-mANSInspectmthemmouthmfor:
50mtom150m-mANSMAPmRange
500mmL/hrm-
mANSYoumaremtreatingmam27m y/omMminmrespiratorymdistressmwhomwasminvolvedminmamhousemfire.mCalculatin
gmTBSAmburnedmismdeferredmduemtomthemneedmformemergentmintubation.mAtmwhatmratemshouldmyoumbeginmfl
uidmresuscitation?
,mTNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Wri
m m m m m m m m m m m
tten Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+
m m m m m m m m m m
Am14mgaugemneedlemthatmisminsertedmintomthem2ndmintercostalmspaceminmthemmidclavicularmlinemonmthemaffe
ctedmsidemovermthemtopmofmthemribmtomavoidmneuromuscularmbundlemthatmrunsmundermthemrib.m
Preparemformchestmtubemplacement.m-mANSTensionmpneumomintervention
am52my/omdiabeticmmalemwithmampartialmthicknessmburnmtomthemleftmlowermlegm-
mANSWhichmofmthemfollowingmpatientsmwarrantsmreferralmtomamburnmcenter?
Ambreathmeverym5mtom6mseconds:m10-12mventilationsmpermminutem-mANSBagmmaskmventilation
ampertinentmmedicalmhxmismcrucialm-
mANSWhichmofmthemfollowingmconsiderationsmismthemmostmimportantmwhenmcaringmformam geriatricmtraumamp
t?
Accordingmtomnewtonsmlawmwhichmofmthesemtwomforcemismgreater:msizemormforce?m-
mANSNeither.mFormeachmforcemtheremismanmequalmandmoppositemreaction.
acidosism-mANSWhichmofmthemfollowingmismamcomponentmofmthemtraumamtriadmofmdeath?
activation:mconsistmofmcarotidmandmaorticmbodies.m...mdetectmchangesminmbloodmoxygenmandmCo2mandmpH.m
WhenmCo2mrisesmormoxygenmlevelmofmpHmfallsmthesemreceptorsmaremactivatedmandminformationmismrelayedmt
omthemCNSmandmthemcardiorespiratorymcentersminmthemmedullam,mwhichmincreasesmrespiratorymragemandmde
pthmandmBPm-mANSChemoreceptors:
advancedmagem-
mANSWhichmofmthemfollowingmismmostmlikelymtomcontributemtominadequatemoxygenationmandmventilation?
aftermamphysicalmexaminationmifmthemptmhasmnomradiologicmabnormalitiesmonmCTm-
mANSEMSmarrivesmwithmthem intoxicatedmdrivermofmamcarminvolvedminmamMVC.mEMSmreportsmsignificantmdam
agemtomthemdriversmsidemofmthemcar.mThemptmismaskingmtomhavemthemcervicalmcollarmremoved.mWhenmitmisma
ppropriatemtomremovemthemcervicalmcollar?
Airmcannotmescapemintrapleuralmspace..mcanmbeginmtomcompressmheart.mptmwillmhavemsevermrespmdistress,m
hypotension,mJVD.m-mANSTensionmpneumo
anymdeformities?mbleeding?mcontusions,mlacs?mskinmtemp??mplacemsplintsmonmdeformities,mpulsesm-
mANSHeadmtomtoemassessment:mExtremities
anymlacs?mdeformities?mbloodmatmthemurtheralmmeatus
palpatempelvismwithmhighmpressuremovermthemiliacmwingsmdownwardmandmmediallym-
mANSHeadmtomtoemassessment:mpelvismandmperineum
AorticmDissectionm-mANSUnequalmextremitympulsemstrengthmpossibilitymof..
applymdirectmpressuremtombleeding
elevatemextremity
applympressuremovermarterialmsites
Considermampelvicmbindermformpelvicmfractures
, mTNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Wri
m m m m m m m m m m m
tten Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+
m m m m m m m m m m
considermamtourniquet
cannulatemtwomveinsmwithmlargemcalibermIVm-mifmunablemtomgainmassessmconsidermIOm
ma.mobtainmlabs,mtypemandmcross
mb.minfusemwarmmisotonicmfluids
mc.mconsidermbalancedmresuscitationm
md.musemrapidminfusionmdevicem-mANSCmInterventions:
applymsplintmandmelevatemabovemthemlevelmofmthemheartm-
mANSam37my/omFmhasmamdeformitymofmthemLmwristmaftermamfall.mShemismreluctantmtommovemhermhandmduemtom
pain.mWhichmofmthemfollowingmismthemmostmappropriatemintervention?
askmptmtompenmhismormhermmouthm-
mANSWhilemassessingmairwaymthempatientmismalertmandmrespondsmtomverbalmstimulimyoum should..
bardycardiamandmabsentmmotormfunctionmbelowmthemlevelmofminjurym-
mANSAmptmwithmamcompletemspinalmcordminjuryminmneurogenicmshockmwillmdemonstratemhypotensionmandmw
hichmothermclinicalmsigns?
Beforemthemarrivalmofmthemptm-mANSWhenmshouldmPPEmbemplaced:
Biomechanicsm-mANSIsmthemgeneralmstudymofmforcesmandmtheirmeffects.
bowelm-mANSWhichmofmthemfollowingminjuriesmismLEASTmlikelymtombempromptlymidentified?
brachialmpulsem-mANSUndermagemofm1mwheremdomyoumfindmampulse
Breathing:mTomassessmbreathingmexposemthemchest:
1.mInspectmfor
ma.mspontaneousmbreathing
mb.msymmetricalmrisemandmfall
mc.mdepth,mpattern,mandmratemofmrespiration
md.msignsmofmdifficultymbreathingmsuchmasmaccessorymmusclemusem
me.mskinmcolorm(normal,mpale,mflushed,mcyanotic)
mf.mcontusions,mabrasions,mdeformitiesm(flailmchest)
mg.mopenmpneumothoracesm(suckingmchestmwounds)
mh.mJVD
mi.msignsmofminhalationminjurym(singedmnasalmhairs,mcarbonaceousmsputum)m-mANSB
calciumm-
mANSifmamptmhasmreceivedmmultiplemtransfusionsmofmbankedmbloodmpreservedmwithmcitrate,mwhichmelectrolyt
emismmostmlikelymtomdropmandmrequiremsupplementation?
canmbemcausedmbymbluntmtrauma.mairmescapesmfromminjuredmlungmtompleuralmspacemandmnegativemintrapleu
ralmpressuremismlostmcausingmpartialmormcollapsedmlungm-mANSSimplemPneumothorax
canmresultmfrommpenetratingmwoundmthroughmchestmwallmcausingmairmtombemtrappedminmtomthemintrapleuralm
place.mMightmhearm"sucking"
Tx:mnonporousmdressingmtapesmonm3msided,mthenmChestmtubemandmwouldmclosuremsurgicalmrepair.m-
mANSOpenmPneumo:
